Insurance Verification Rep - Multispecialty Clinic, Turkey Creek Job at Tennova Healthcare- Turkey Creek Medical Center, Knoxville, TN

SjJUUnFGQTdHR2srTU9aYWo3SXVKVjl6c2c9PQ==
  • Tennova Healthcare- Turkey Creek Medical Center
  • Knoxville, TN

Job Description

Job Description

Job Summary

Tennova Multispecialty Clinic in Turkey Creek is looking for an Insurance Verification Representative is responsible for verifying insurance coverage and benefits for scheduled procedures and services. This role ensures accuracy in patient records and assists in obtaining prior authorizations, if needed, to facilitate timely reimbursement. The Insurance Verification Representative works closely with clinical and administrative teams to provide a seamless patient experience.

Essential Functions

  • Verifies patient insurance information, including eligibility, benefits, and coverage limitations.
  • Reviews scheduled services and procedures to determine any necessary pre-certifications or authorizations.
  • Coordinates with insurance providers to obtain required authorizations and verifies prior approvals.
  • Communicates insurance requirements and benefit information to patients and answers any questions related to coverage.
  • Accurately enters and updates insurance information in the patient’s medical record and billing systems.
  • Identifies and resolves any insurance-related discrepancies or issues, working with other departments as necessary.
  • Assists with resolving denied authorizations and facilitates appeals as required.
  • Performs other duties as assigned.
  • Complies with all policies and standards.

Qualifications

  • 0-2 years of experience in insurance verification, billing, or a related role in a healthcare setting required

Knowledge, Skills And Abilities

  • Basic knowledge of insurance terminology, eligibility verification, and authorization processes.
  • Strong attention to detail and accuracy in data entry and documentation.
  • Effective communication and interpersonal skills for interacting with patients, staff, and insurance companies.
  • Ability to manage time effectively and work in a fast-paced environment.
  • Proficient in basic computer skills and comfortable navigating healthcare billing or insurance software.

Job Tags

Similar Jobs

CNA INTERNATIONAL IT

Backend Engineer Job at CNA INTERNATIONAL IT

 ...-driven Backend Engineer with experience working across the stack to join our team. The Claims...  ...~ Health insurance plans through Aetna (medical and dental) and MetLife (vision)...  ...membership stipend ~ Monthly work-from-home stipend ~ Financial wellness benefits through... 

Community Behavorial Health

Psychiatrist Job at Community Behavorial Health

 ...Now Hiring: Psychiatrist (Full-Time or Part-Time) | Community Behavioral Health, LLC Are you a compassionate and driven Board-Certified or Board-Eligible Psychiatrist looking to make a meaningful impact in your community? Community Behavioral Health, LLC is seeking... 

PolicyMe

Remote Junior Software Engineer Job at PolicyMe

 ...new product line that will transform the insurance broker experience through AI and machine learning. As an AI-Driven Full Stack Engineer, youll be part of a team charting new territory designing and implementing intelligent systems that automate manual processes and... 

Developer Bazaar

Data Entry Clerk Job at Developer Bazaar

 ...We are seeking a detail-oriented Data Entry Clerk to join our growing team. In this role, youll be responsible for accurately entering,...  ...is ideal for someone with strong attention to detail, excellent typing skills, and a commitment to accuracy and efficiency. Key Responsibilities... 

Berkshire Hathaway Automotive

Automotive Retail F&I Manager Job at Berkshire Hathaway Automotive

We are looking for passionate, career-minded experienced automotive retail Finance & Insurance Managers. Finance & Insurance Manager positions are in a variety of dynamic and profitable dealerships including import, luxury and domestic brands across the Dallas Fort-Worth...